VICKIE ANN KRAHL LSA NPI 1003801416

in Denton, TX

Individual Female

About VICKIE KRAHL

Vickie Krahl is a provider established in Denton, Texas and her medical specialization is . The NPI number of Vickie Krahl is 1003801416 and was assigned on September 2005. The practitioner's primary taxonomy code is 246ZS0400X with license number SA0003 (TX). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI

1003801416

Provider Name VICKIE ANN KRAHL LSA
Provider Location Address3320 COLORADO BLVD DENTON, TX 76210
Provider Mailing Address3320 COLORADO BLVD DENTON, TX 76210
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-13-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code246ZS0400X
Classification
Type
License No.SA0003
License StateTX

Business Address

VICKIE ANN KRAHL LSA
3320 COLORADO BLVD
DENTON, TX
ZIP 76210
Phone: (940) 382-6757
Fax: (940) 383-1894

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Mailing Address

VICKIE ANN KRAHL LSA
3320 COLORADO BLVD
DENTON, TX
ZIP 76210
Phone: (940) 382-6757
Fax: (940) 383-1894

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
89N936OTHER (01)TX

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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